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Shannon Gray
Specialist in Mesa, Arizona
NPI 1245553502

Shannon Gray is a Specialist based in Apache Junction, AZ. Shannon Gray practices in Mesa, AZ. The NPI Number for Shannon Gray is 1245553502 and holds a License No. 36286 (Arizona).

The current practice location address for Shannon Gray is 1111 S Stapley Dr, Mesa, AZ and can be reached out via phone at 480-398-1220 and via fax at 480-398-1230.

Location: 1111 S Stapley Dr, Mesa, AZ, 85120-4127
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1245553502
Provider Name
Shannon Gray
Credential
Provider Entity Type
Organization
Address
1111 S Stapley Dr, Mesa, AZ, 85120-4127
Phone Number
480-398-1220
Fax Number
480-398-1230
Provider Enumeration Date
03/01/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1111 S Stapley Dr
City
Mesa
State
Arizona
Zip
85204-5059
Phone Number
480-398-1220
Fax Number
480-398-1230
person
Provider Business Mailing Address Details
Address
1111 S Stapley Dr
City
Mesa
State
Arizona
Zip
85204-5059
Phone Number
480-398-1220
Fax Number
480-398-1230
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
36286 (Arizona)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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